MR. KIM PEDRO MOMPEAN (NPI# 1841474863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841474863 |
| Entity Type | Individual |
| Full Name | MR. KIM PEDRO MOMPEAN |
| Practice Address |
1414 N California St Stockton CA 95202-1515 |
| Mailing Address |
2529 Inman Ave. Stockton CA 95204 |
| Practice Telephone | 2094682385 |
| Mailing Telephone | 2094631529 |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2007-12-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | IMF53195 | CA | Behavioral Health & Social Service Providers |
| Street Address |
1414 N CALIFORNIA ST |
| City | STOCKTON |
| State | CA |
| Zip Code | 95202-1515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376574616 | Susan M Abraham | Pediatrics | 1414 N California St, Stockton, CA 95202-1515 | 2006-07-05 |
| 1346859469 | Adam Wong | Licensed Psychiatric Technician | 1414 N California St, Stockton, CA 95202-1515 | 2020-07-24 |
| 1760018485 | Ashley Nichole Mcmillion | Case Manager/Care Coordinator | 1414 N California St, Stockton, CA 95202-1515 | 2020-03-13 |
| 1619515640 | Maria Samson | Counselor | 1414 N California St, Stockton, CA 95202-1515 | 2019-12-20 |
| 1043857014 | Adrienne Pleasants | Counselor | 1414 N California St, Stockton, CA 95202-1515 | 2019-12-09 |
| 1801445531 | Mary Alice Richardson | Case Manager/Care Coordinator | 1414 N California St, Stockton, CA 95202-1515 | 2019-09-05 |
| 1013566744 | Joseph Michael Jackson Pointon | Case Manager/Care Coordinator | 1414 N California St, Stockton, CA 95202-1515 | 2019-09-05 |
| 1093370397 | Allison Ilene Borsuk-georgandas | Social Worker | 1414 N California St, Stockton, CA 95202 | 2019-05-02 |
| 1801459920 | Angelique Cooper | Counselor | 1414 N California St, Stockton, CA 95202-1515 | 2019-04-15 |
| 1568938124 | Malina Celine Diaz | Counselor | 1414 N California St, Stockton, CA 95202-1515 | 2018-10-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336774678 | Lecletus Griffin Jr. | Counselor | 1212 N. Califronia Street, Stockton, CA 95202 | 2020-03-06 |
| 1861035586 | Andrea Mn Perkins | Social Worker | Sjc Bhs Bacop, 1149 El Dorado Street, Stockton, CA 95202 | 2019-10-25 |
| 1932664620 | San Joaquin County Behavioral Health Services | Community/Behavioral Health | 1212 N. Califorian St, Stockton, CA 95202 | 2019-02-06 |
| 1730655895 | Jenaiah La'neise Sauceda | Social Worker | 343 E Main St Ste 918, Stockton, CA 95202 | 2018-10-16 |
| 1235631722 | Parker Yang | Counselor | 1111 N. El Dorado St, Stockton, CA 95202 | 2018-03-01 |
| 1912406976 | Janet Mendoza | Social Worker | 6 South Eldorado Street, Stockton, CA 95202 | 2018-02-06 |
| 1487162087 | Linda Soun | Counselor | 1111 N. El Dorado Street, Stockton, CA 95202 | 2018-01-17 |
| 1124545355 | Suleyma Velesquez | Counselor | 445 N. San Joaquin St., Stockton, CA 95202 | 2017-08-28 |
| 1821513946 | Savoeun Phal | Counselor | 1212 N California St Ste A214, Stockton, CA 95202 | 2017-08-09 |
| 1861921272 | Mandeep K Minhas | Registered Nurse | 1212 California St, Stockton, CA 95202 | 2017-06-08 |
| Find all providers in zip 95202 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528532991 | Stephen Elias | Marriage & Family Therapist | 1414 N California St Ste 2, Stockton, CA 95202-1515 | 2019-01-18 |
| 1235614116 | Michelle Ann Horn | Marriage & Family Therapist | 3666 Mission Rd, Stockton, CA 95204 | 2018-09-26 |
| 1083117188 | Ryan Rix | Marriage & Family Therapist | 510 E Magnolia St Ste 100, Stockton, CA 95202-1850 | 2018-03-14 |
| 1821538273 | Lisa Marie Richardson | Marriage & Family Therapist | 2852 Elmwood Ave Apt 9, Stockton, CA 95204-3949 | 2017-03-05 |
| 1750837985 | Alexsandra Trejo | Marriage & Family Therapist | 6707 Embarcadero Drive, Stockton, CA 95219 | 2016-08-28 |
| 1992179352 | Frank Garcia | Marriage & Family Therapist | 5302 Harvest Gold Dr, Stockton, CA 95219-2432 | 2015-11-23 |
| 1144696840 | Wilhelmina Marie Parsons | Marriage & Family Therapist | 1212 California Street, Stockton, CA 95202 | 2015-08-17 |
| 1962887554 | Gurmeet Singh | Marriage & Family Therapist | 4635 Georgetown Pl Ste A, Stockton, CA 95207-6203 | 2015-07-23 |
| 1598148165 | Roberta Ann Novo | Marriage & Family Therapist | 4750 Quail Lakes Drive, Suite C-2, Stockton, CA 95207 | 2015-07-01 |
| 1316328792 | San Juana Melgoza | Marriage & Family Therapist | 306 E Main St Ste 300, Stockton, CA 95202-2908 | 2015-06-11 |
| Find all providers in STOCKTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.